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2 Key Challenges for CARMEN  Bring NCD prevention to the forefront of the discussion on social and economic policy development  Facilitate and support national NCD policy

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3 CARMEN as an Action-Oriented Initiative Main levels of action for a public health approach for NCD  Policy  Community  Health Services

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4 CARMEN as a repository of intervention knowledge  Focus on evaluation  Pool and wealth of intervention knowledge at the 3 levels of action To be further evaluated and exploited Learning about good practices  Potential Platform for NCD Policy Research Provides access to expertise in policy research and to channels for NCD delivery of policies and programs among countries.

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5 CARMEN as a Network  Readily available dissemination channel on lessons learned among countries  Case stories from demonstration areas can be used To raise visibility / profile To obtain political and public support

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6 Roadblocks facing CARMEN  Lack of political support for NCD prevention  Less than 50% of WHO Member States have established national NCD prevention policies and plans Less than 40% for the Americas

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7 Ref: Assessment of National Capacity for Noncommunicable Disease Prevention and Control. WHO 2002

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10 Some key findings: Strategic issues to be addressed by CINDI/CARMEN  Increased focus on population approaches  Better marketing of NCD programs Case studies should be better exploited as advocacy tools  Challenge of moving from demonstrations to countrywide, and to integrate into national health systems  Untapped opportunities for CINDI and CARMEN as research observatories for best practices  Potential of CINDI and CARMEN as linkage agents with other health promotion and disease prevention initiatives.

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12 Building on investments and experience to date…  WHO Collaborative Centre on NCD Policy Prior policy comparative studies Qualitative research expertise Ongoing NCD policy working group for CINDI centres.

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14 Why a Policy Observatory for Latin America and the Caribbean?  Common NCD Policy Challenges across the region  Scarce evidence on the actual effectiveness of NCD policies Ideology-rich but knowledge poor  Available information lacks relevance for policy-makers and agencies

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15 Goals of the Observatory  Support and promote evidence-based health policy making through comprehensive analysis of NCD policy development and implementation processes  Expand the necessary technical capabilities for NCD policy analysis and evaluation in the Region to provide evidence base to support decision making process  Bring NCD prevention at the forefront of policy discussions and increase visibility and political support

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16 Key Objectives  To facilitate the introduction of policies for the prevention of NCDs in government and social development programs  To technically improve the formulation and implementation of NCD policies  To boost technical capacity in the countries e.g. analysis and evaluation of public policies for the prevention of NCD in Latin America and the Caribbean

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17 Key Objectives  To generate relevant information for the design, formulation, and implementation of public policies for the prevention of NCDs  To adopt and adapt methodologies for policy analysis in the Region to facilitate their frequent use in decision-making  To promote the formulation of policies that advocate NCD prevention in the Region  To facilitate technical cooperation among countries

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21 A First Step  Case studies of Public policies aimed at prevention and control of the most important risk factors for NCDs such as smoking, nutrition and physical inactivity  Establishment of a technical working group with interested countries  Timetable Completion of case studies by end of 2004